Self-efficacy and fear of pain to movement in chronic low back pain: an intervention developed by nurses

Abstract

Objective: To test the effect of interventions to chronic low back pain developed by nurses in the Program to Increase Self-efficacy and Reduce the Fear of Pain and Avoidance of Movement. Method: Clinical trial, with 81 patients, carried out in 2016, at the Pain Outpatient Clinic in São Luís, Maranhão, Brazil. The groups received: A (education and exposure), B (education) and C (control). Chi-square, Fisher’s Exact, ANOVA and Kruskal Wallis tests were performed. Results: Patients in groups A and B improved self-efficacy, anxiety, depression, and disability, compared to group C. The reduction in fear of pain and avoidance of movement was greater in Group A, which also showed a decrease in current pain and overall scores compared to Group B and C. Conclusion: Education was effective in increasing the Self-Efficacy Belief. For the Belief of Fear of Pain and Avoidance of Movement and pain intensity, the association with exposure showed better results.

Treatments for kinesiophobia in people with chronic pain: A scoping review

“…Two studies considered kinesiophobia as an eligibility criterion ( Figure 4A ). Participants in the study of Ariza-Mateos et al (2019) had to have a Tampa Scale of Kinesiophobia (TSK) score greater than 33 points, while participants in the study of Moraes et al (2021) had to have a TSK score greater than or equal to 51 points. One study used the Fear-Avoidance Beliefs Questionnaire’s physical activity subscale to assess the effect of the interventions on kinesiophobia, Ariza-Mateos et al (2019) , while the rest of studies used the TSK ( Figure 4B ).…”

“…However, interesting and promising multidisciplinary designs stand out. For example, Moraes et al (2021) , collaborated with nurses treating chronic low back pain patients to develop a cognitive-behavioral therapy that combines pain education, pain exposure, and standard treatment (medical consultation and pharmacological treatment). Another study by Reynolds et al (2020) looked at the efficacy of a combination of cervical thrust manipulation, behavioral education, soft tissue mobilization, and home exercises in the treatment of temporomandibular disorder.…”